Individual
DR. PETER BAKER KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BLK 4, BOSTON, MA 02114-2621
(617) 724-6044
(617) 724-5997
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-6044
(617) 724-5997
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
51447
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051447
TUFTS HEALTH PLAN
MA
05
—
6187846
—
MA
01
—
J03061
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
10/02/2013
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